Claims for International Long Term Care Coverage

COMMENT: The one unique requirement that you must satisfy to be eligible for payment of Benefits for International Coverage is that you must be outside the United States and its territories. All other eligibility requirements for payment of Benefits are the same as when you are in the United States or its territories.

The above provision states that, as pertains to International Coverage, references to “charges you incur for Covered Services” or to “claim forms” may be disregarded because they don’t apply. The reason is that Benefits for International Coverage are paid in a different way. Benefits for International Coverage are paid on simple per diem basis. The Per Diem Benefit is not related to charges you incur. All you need to do is to show that you are eligible for payment of Benefits for International Coverage and you will be paid a pre-determined daily benefit amount. The Amount is 50% of the Home Care and Community Care Maximum Daily Benefit Amount shown on the Schedule of Benefits page of the Policy.